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NPI Code Detail

MEDICARE: SENIOR SUPPORT OF SOUTHEAST MICHIGAN LLC

MEDICARE: SENIOR SUPPORT OF SOUTHEAST MICHIGAN LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1253Z00000XIn Home Supportive Care Agency

General Provider Information

NPI Number : 1427815356
Entity Type Code : Organization
Provider Name (Legal Business Name) : SENIOR SUPPORT OF SOUTHEAST MICHIGAN LLC
Provider Business Mailing Address
First Line : 30701 W 10 MILE RD STE 300
Second Line :
City : FARMINGTON HILLS
State : MI
Zip : 48336-2634
Country : US
Telephone Number : 248-865-1000
Fax Number :
Provider Business Practice Location Address
First Line : 30701 W 10 MILE RD STE 300
Second Line :
City : FARMINGTON HILLS
State : MI
Zip : 48336-2634
Country : US
Telephone Number : 248-865-1000
Fax Number :
Authorized Official
Title or Position : OWNER
Name : DENISE MICHELE BELLINGER
Credential :
Telephone Number : 248-865-1000
Provider Enumeration Date : 03/06/2024
Last Update Date : 03/06/2024

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Directions to “SENIOR SUPPORT OF SOUTHEAST MICHIGAN LLC ” Practice Location

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